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SCOTT CHRISTIAN JACKSON
NPI 1669115770
Dentist - General Practice in Memphis, TN

Active since April 16, 2022
5180 PARK AVE STE 210, MEMPHIS, TN 38119(901) 763-0850 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 6, 2024, Jul 26, 2023, Apr 16, 2022 (3 updates tracked since 2022).

About Scott Christian Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT CHRISTIAN JACKSON (NPI 1669115770) is an individual general practice provider in Memphis, Tennessee, licensed in Tennessee (12245) and active in the NPI registry since April 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669115770
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSCOTT CHRISTIAN JACKSON
Location Address5180 PARK AVE STE 210Memphis, TN 38119-3530
Mailing Address17649 Rockwood Arbor DrEureka, MO 63025-4035 · (636) 236-3714
Phone(901) 763-0850
Sole ProprietorNo
Enumeration DateApril 16, 2022
Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1669115770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · 12245
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5180 PARK AVE STE 210, Memphis, TN 38119
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Secondary Practice Locations 2

Location 1875 Union Ave Ste C211Memphis, TN 38103-3513 · Phone (901) 448-6930
Location 22059 S Houston Levee Rd Ste 126Germantown, TN 38139-6970 · Phone (901) 425-0444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ALYSSIA HENDERSON
Dentist (General Practice)
5180 PARK AVE STE 210
MEMPHIS, TN 38119
Shelby County (901) 763-0850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Jackson's NPI number?

The NPI number for Scott Jackson is 1669115770. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Where is Scott Jackson located?

Scott Jackson practices at 5180 Park Ave Ste 210, Memphis, TN 38119. The listed phone number is (901) 763-0850.

What is Scott Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Scott Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 6 other insurers list Scott Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Jackson was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.